AultCare Bronze 5000 Select No Pediatric Dental is an Obamacare health insurance plan offered by AultCare Insurance Company* that is available for individuals and families.

This plan is a PPO, meaning you will have the flexibility to visit a preferred healthcare provider network that have preferred rates for in-network physicians. (Read more about PPOs.)

This plan is a Bronze metal level plan, which generally has a lower monthly cost but higher annual deductible (and co-pay), and provides basic insurance coverage for people who do not spend regularly on health care (i.e., doctors, prescription drugs, etc.).

Deductible amount of $5,000. A deductible is the amount of healthcare costs you will pay on your own each year before the insurance company.

Max out-of-pocket of $6,550, which is the most you will pay in a plan year outside of premiums, out-of-network providers and non-essential health benefits.

Who is this plan for?

This plan with a lower monthly cost is great for healthy individuals and families who rarely, if ever, visit the doctor or use prescription drugs. The very high deductible on this plan means you will pay a significant amount of money of pocket for medical care and prescriptions before your insurance kicks in. The very high out-of-pocket maximum on this plan means you could be faced with a very expensive medical bill if an emergency happens. Plans with this type of provider network tend to have a more broad provider network.

HealthCare.com is a privately-held website for healthcare consumers operating since 2007. We’re not the government marketplace.

Highlights

Dental Coverage:

Child

Emergency Room:

35% Coinsurance after deductible

Retail Drugs:

35% Coinsurance after deductible

Generic Drugs:

35% Coinsurance after deductible

Overview

Plan Type:

PPO

Metal Level:

Bronze

Health Spending Account:

Yes

Primary Care Office Visit:

35% Coinsurance after deductible

Specialist Office Visit:

35% Coinsurance after deductible

Out of Network Coverage:

Yes

Out of Country Coverage:

Yes

Coverage Details

Preventive Care

Periodic Health Exam

In Network:

No Charge after deductible

Out of Network:

55% Coinsurance after deductible

Well Baby Care

In Network:

No Charge after deductible

Out of Network:

55% Coinsurance after deductible

Inpatient

Hospital Services

In Network:

35% Coinsurance after deductible

Out of Network:

55% Coinsurance after deductible

Physician Fee

In Network:

35% Coinsurance after deductible

Out of Network:

55% Coinsurance after deductible

Skilled Nursing Facility

In Network:

35% Coinsurance after deductible

Out of Network:

55% Coinsurance after deductible

Mental Health

In Network:

35% Coinsurance after deductible

Out of Network:

55% Coinsurance after deductible

Substance Abuse

In Network:

35% Coinsurance after deductible

Out of Network:

55% Coinsurance after deductible

Home Healthcare

In Network:

35% Coinsurance after deductible

Out of Network:

55% Coinsurance after deductible

Outpatient

Surgery

In Network:

35% Coinsurance after deductible

Out of Network:

55% Coinsurance after deductible

X-ray and Diagnostics

In Network:

35% Coinsurance after deductible

Out of Network:

55% Coinsurance after deductible

Labs

In Network:

35% Coinsurance after deductible

Out of Network:

55% Coinsurance after deductible

Facility Fee

In Network:

35% Coinsurance after deductible

Out of Network:

55% Coinsurance after deductible

Mental Health

In Network:

35% Coinsurance after deductible

Out of Network:

55% Coinsurance after deductible

Substance Abuse

In Network:

35% Coinsurance after deductible

Out of Network:

55% Coinsurance after deductible

Rehabilitation Services

In Network:

35% Coinsurance after deductible

Out of Network:

55% Coinsurance after deductible

Maternity/Pregnancy

Pre & Postnatal Care

In Network:

35% Coinsurance after deductible

Out of Network:

55% Coinsurance after deductible

Infertility Treatment

In Network:

Not Covered

Out of Network:

Not Covered

Labor and Delivery Inpatient Services

In Network:

35% Coinsurance after deductible

Out of Network:

55% Coinsurance after deductible

Dental

Accidental Care

In Network:

35% Coinsurance after deductible

Out of Network:

55% Coinsurance after deductible

Basic Dental Care (Child)

In Network:

Not Covered

Out of Network:

Not Covered

Dental Checkup (Child)

In Network:

Not Covered

Out of Network:

Not Covered

Major Dental Care (Child)

In Network:

Not Covered

Out of Network:

Not Covered

Orthodontia (Child)

In Network:

Not Covered

Out of Network:

Not Covered

Vision

Eye Exam (Child)

In Network:

No Charge after deductible

Out of Network:

55% Coinsurance after deductible

Glasses (Child)

In Network:

35% Coinsurance after deductible

Out of Network:

55% Coinsurance after deductible

Additional Coverage

Chiropractic Care

In Network:

35% Coinsurance after deductible

Out of Network:

55% Coinsurance after deductible

Habilitation Services

In Network:

35% Coinsurance after deductible

Out of Network:

55% Coinsurance after deductible

Rehabilitation Services (Speech)

In Network:

35% Coinsurance after deductible

Out of Network:

55% Coinsurance after deductible

Rehabilitation Services (Occupational Therapy)

In Network:

35% Coinsurance after deductible

Out of Network:

55% Coinsurance after deductible

Hospice Service

In Network:

35% Coinsurance after deductible

Out of Network:

55% Coinsurance after deductible

Diabetes Care Management

In Network:

No Charge after deductible

Out of Network:

55% Coinsurance after deductible

Durable Medical Equipment

In Network:

No Charge after deductible

Out of Network:

55% Coinsurance after deductible

Nutritional Consuleling

In Network:

No Charge after deductible

Out of Network:

55% Coinsurance after deductible

Reconstructive Surgery

In Network:

35% Coinsurance after deductible

Out of Network:

55% Coinsurance after deductible

Doctor Visits

Primary Care Visit

In Network:

35% Coinsurance after deductible

Out of Network:

55% Coinsurance after deductible

Specialist Visit

In Network:

35% Coinsurance after deductible

Out of Network:

55% Coinsurance after deductible

Other Practitioner Office Visit

In Network:

35% Coinsurance after deductible

Out of Network:

55% Coinsurance after deductible

Preventative Care / Screening / Immunization

In Network:

No Charge after deductible

Out of Network:

55% Coinsurance after deductible

Emergency Room and Urgent Care

Emergency Room Services

In Network:

35% Coinsurance after deductible

Out of Network:

35% Coinsurance after deductible

Urgent Care Services

In Network:

35% Coinsurance after deductible

Out of Network:

35% Coinsurance after deductible

Ambulance/Transportation Services

In Network:

35% Coinsurance after deductible

Out of Network:

35% Coinsurance after deductible

Drugs

Generic Prescription

In Network:

35% Coinsurance after deductible

Out of Network:

35% Coinsurance after deductible

Retail Brand Drugs

In Network:

35% Coinsurance after deductible

Out of Network:

35% Coinsurance after deductible

Non Retail Brand Drugs

In Network:

35% Coinsurance after deductible

Out of Network:

35% Coinsurance after deductible

Specialty Drugs

In Network:

35% Coinsurance after deductible

Out of Network:

35% Coinsurance after deductible

Additional Plan Information

HealthCare.com is a privately owned website, and monthly costs shown above are estimates only.
Your monthly premium may change based on the data provided, outside fees, optional benefits
or if other factors take effect before your coverage start date. Note that insurance companies
reserve the right to change your premium rate and the policy terms at any time. Effective date,
benefit amounts and other conditions may apply at the discretion of the insurance carrier you select.
Depending on your state of residence, this website may not display all plans available by state.
The Obamacare Tax Subsidy Calculator amounts are estimates only and the actual amount of subsidy
eligibility may differ. Access to your physician depends on network selected, and networks can
change without notice. Contact your health insurance company to confirm your healthcare provider
is still available in the network you select.